A Study To Evaluate Safety And Efficacy Of IV Sildenafil In The Treatment Of Neonates With Persistent Pulmonary Hypertension Of The Newborn

Purpose

This study will evaluate whether IV sildenafil can reduce the time on inhaled nitric oxide treatment and reduce the failure rate of available treatments for persistent pulmonary hypertension of the newborn.

Condition

  • Pulmonary Hypertension, Familial Persistent, of the Newborn

Eligibility

Eligible Ages
Between 0 Days and 4 Days
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Neonates with persistent pulmonary hypertension of the newborn - Age <=96 hours and >=34 weeks gestational age - Oxygenation Index >15 and <60 - Concurrent treatment with inhaled nitric oxide and >=50% oxygen

Exclusion Criteria

  • Prior or immediate need for extracorporeal membrane oxygenation or cardiopulmonary resuscitation - Expected duration of mechanical ventilation <48 hours - Profound hypoxemia - Life-threatening or lethal congenital anomaly

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Double (Participant, Investigator)

Arm Groups

ArmDescriptionAssigned Intervention
Placebo Comparator
placebo
iv placebo of normal saline or 10% dextrose
  • Drug: placebo
    IV placebo or 0.9% sodium chloride or 10% dextrose. Infusion rate based on weight.
Experimental
sildenafil
Active study drug
  • Drug: iv sildenafil
    loading dose of 0.1 mg/kg over 30 minutes followed by maintenance dose of 0.03 mg/kg/h. To infuse minimum 48 hours and maximum of 14 days.
    Other names:
    • revatio

More Details

Status
Completed
Sponsor
Pfizer's Upjohn has merged with Mylan to form Viatris Inc.

Study Contact